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California rates for HCPCS 42890

Limited pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $10,232.93 / $23,988.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,128.31 / $15,848.93
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $5,370.32 / $16,982.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $3,467.37 / $7,413.10
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,412.54 / $1,995.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $2,691.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $33,884.42 / $33,884.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,659.59 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $11,748.98 / $25,118.86